Hand Surgery, Orthopedic Surgery
Conditions
Brief summary
Further studies are needed to establish the effects of WALANT in performing most common hand surgeries, in relation to its clinical outcomes and intraoperative blood loss. Therefore, this study aims to identify the best interval time to perform elective hand surgeries using WALANT technique, document clinical outcomes and identify potential complications
Detailed description
To propose the optimal time delay from the injection to skin incision for most WALANT surgeries of the hand or wrist by analyzing not only intraoperative blood loss, but also postoperative pain scores and complication rates To determine if there is a difference between performing the WALANT technique with a waiting interval of 7 minutes as compared to 30 minutes prior to incision in relation to blood loss, pain scores, and complications. Initiate the use of WALANT technique and its application in practice of Orthopaedic Residents in East Avenue Medical Center
Interventions
OTHERWALANT Technique
A technique commonly used in hand surgeries where the combination of lidocaine and epinephrine is used for local blood control, thus performing the procedure without a tourniquet
Sponsors
East Avenue Medical Center, Philippines
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
1. . Signed Consent Form 2. Elective Hand Surgeries 3. Minor Hand Surgeries 4. Adult Male/Female ages 18 and above 5. Multiply injured
Exclusion criteria
1. No Consent 2. Multiply injured patient 3. Traumatic Hand Injuries 4. Known allergic reaction to either Epinephrine or Lidocaine. 5. Known heart condition 6. Patients on anticoagulants 7. Patients diagnosed with bleeding disorders
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| VRS Score | 24 weeks | Verbal Rating Scale 1. 0 for no pain 2. 1 for mild pain 3. 2 for moderate pain 4. 3 for severe pain 5. 4 for very severe pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Blood Loss | 24 weeks | Blood loss estimation using Gauze Visual Analogue Scale by Algadiem et.al. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Complications | 24 weeks | Complications which may occur during the course of treatment and subsequent follow up of the patients which includes: wound complications, infection, stiffness, pain |
Countries
Philippines
Outcome results
None listed